A newborn male with, recessive dystrophic epidermolysis bullosa hereditaria is presented. The patient developed excoriation, blisters, erosion, and milia formations mainly on his extremities after birth. Histopathologically. sections from the eroded skin revealed a loss of the epidermis and probable subepidermal blister formation as evidenced by the presence of preserved dermal papillae associated with mild lymphocytic infiltrate in the dermis. He was treated with oral tocopherol acetate and phenytoin from the fifth day after birth. However, this therapy proved to be ineffective. In addition, he also developed progressive fusion of the toes by severe scarring with a loss of his toe nails.
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